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Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele.

Publication ,  Journal Article
Antiel, RM; Collura, CA; Flake, AW; Johnson, MP; Rintoul, NE; Lantos, JD; Curlin, FA; Tilburt, JC; Brown, SD; Feudtner, C
Published in: J Perinatol
September 2017

OBJECTIVE: Examine how pediatric and obstetrical subspecialists view benefits and burdens of prenatal myelomeningocele (MMC) closure. STUDY DESIGN: Mail survey of 1200 neonatologists, pediatric surgeons and maternal-fetal medicine specialists (MFMs). RESULTS: Of 1176 eligible physicians, 670 (57%) responded. Most respondents disagreed (68%, 11% strongly) that open fetal surgery places an unacceptable burden on women and their families. Most agreed (65%, 10% strongly) that denying the benefits of open maternal-fetal surgery is unfair to the future child. Most (94%) would recommend prenatal fetoscopic over open or postnatal MMC closure for a hypothetical fetoscopic technique that had similar shunt rates (40%) but decreased maternal morbidity. When the hypothetical shunt rate for fetoscopy was increased to 60%, physicians were split (49% fetoscopy versus 45% open). Views about burdens and fairness correlated with the likelihood of recommending postnatal or fetoscopic over open closure. CONCLUSION: Individual and specialty-specific values may influence recommendations about prenatal surgery.

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Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

September 2017

Volume

37

Issue

9

Start / End Page

994 / 998

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Risk
  • Pregnancy
  • Pediatrics
  • Pediatricians
  • Obstetrics
  • Neonatologists
  • Meningomyelocele
  • Maternal Death
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Antiel, R. M., Collura, C. A., Flake, A. W., Johnson, M. P., Rintoul, N. E., Lantos, J. D., … Feudtner, C. (2017). Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. J Perinatol, 37(9), 994–998. https://doi.org/10.1038/jp.2017.75
Antiel, R. M., C. A. Collura, A. W. Flake, M. P. Johnson, N. E. Rintoul, J. D. Lantos, F. A. Curlin, J. C. Tilburt, S. D. Brown, and C. Feudtner. “Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele.J Perinatol 37, no. 9 (September 2017): 994–98. https://doi.org/10.1038/jp.2017.75.
Antiel RM, Collura CA, Flake AW, Johnson MP, Rintoul NE, Lantos JD, et al. Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. J Perinatol. 2017 Sep;37(9):994–8.
Antiel, R. M., et al. “Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele.J Perinatol, vol. 37, no. 9, Sept. 2017, pp. 994–98. Pubmed, doi:10.1038/jp.2017.75.
Antiel RM, Collura CA, Flake AW, Johnson MP, Rintoul NE, Lantos JD, Curlin FA, Tilburt JC, Brown SD, Feudtner C. Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. J Perinatol. 2017 Sep;37(9):994–998.

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

September 2017

Volume

37

Issue

9

Start / End Page

994 / 998

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Risk
  • Pregnancy
  • Pediatrics
  • Pediatricians
  • Obstetrics
  • Neonatologists
  • Meningomyelocele
  • Maternal Death
  • Male